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Women's Health Topics
Ask an Expert
Ask the Expert Team
Sutter Health
I have several small fibroids that sometimes cause me pain. How severe does it need to be to consider doing something about it?
Before you make any decisions, make sure that other possible causes of pelvic pain have been adequately evaluated by your doctor, including your bladder, gastrointestinal system, and pelvic floor muscles. Fibro... continue reading about I have several small fibroids that sometimes cause me pain. How severe does it need to be to consider doing something about it?
Wesley S. Hilger, M.D., FACOG
Surgery Center Division
I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Pelvic prolapse is a loss of support for the organs in the pelvis, including the bladder, uterus or rectum. When these organs shift out of position, they can cause symptoms that affect functioning, including ur... continue reading about I've heard that the sling procedure is especially helpful for pelvic prolapse. How do I know if I am a good candidate for it?
Ask the Expert Team
Sutter Health
My mom died of breast cancer at the age of 55, so I've been getting mammograms since the age of 30. Is there a risk of radiation exposure from having regular mammograms? Should I be getting digital mammograms instead?
Digital mammograms do seem to improve the cancer detection rate in younger women with dense breasts. The radiation dose is not necessarily lower, but images can be manipulated to overcome some of the problem re... continue reading about My mom died of breast cancer at the age of 55, so I've been getting mammograms since the age of 30. Is there a risk of radiation exposure from having regular mammograms? Should I be getting digital mammograms instead?
Susan Maayah, M.D.
Palo Alto Medical Foundation
If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
High-risk HPV detection on a pap smear indicates you are at risk for developing cervical cancer at any point in the future. With a healthy immune system, many women clear this, but sometimes severe cases requir... continue reading about If HPV high risk is detected during my PAP smear result, should I get vaccinated? Or is it too late for any benefit of a vaccine? I have been monogamous for the last 10 years. Also, what's the likelihood of getting cancer once HPV is detected?
Ask the Expert Team
Sutter Health
I had a da Vinci hysterectomy last month. They removed my uterus, cervix, right ovary and fallopian tubes. They did not remove the left ovary. What kind of symptoms should I experience?
You should not expect to experience any symptoms related to the removal of your right ovary, since the remaining left ovary will continue to produce enough hormones for your well-being. Of course, your body wil... continue reading about I had a da Vinci hysterectomy last month. They removed my uterus, cervix, right ovary and fallopian tubes. They did not remove the left ovary. What kind of symptoms should I experience?
Heidi Wittenberg, M.D., M.S., FPMRS
California Pacific Medical Center
I had a partial hysterectomy 18 years ago (my ovaries were not removed). Lately I've been having pain and cramping, so recently had x-rays and an ultrasound. The doctor could not find my ovaries. Can ovaries just disappear on their own?
If ovaries are not removed surgically, they are still present. After menopause, our ovaries do shrink. Pre-menopause ovaries are 3-4cm, but after menopause they can be 0.5cm-1.0cm. The older we get, the smaller... continue reading about I had a partial hysterectomy 18 years ago (my ovaries were not removed). Lately I've been having pain and cramping, so recently had x-rays and an ultrasound. The doctor could not find my ovaries. Can ovaries just disappear on their own?
Toni J. Brayer, M.D.
Sutter Pacific Medical Foundation
Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Almost 2/3 of women complain of memory impairment during menopause and after childbirth when hormones are in flux. This "brain fog" is common and likely is influenced by estrogen. We do have estrogen receptors ... continue reading about Could the hormonal changes I'm experiencing during perimenopause be affecting my memory? I've heard a lot of references to "meno-fog."
Rodman S. Rogers, M.D.
SPMF San Francisco HMO Network
I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?
Both synthetic polypropylene and acellular porcine dermis (pig skin) mesh slings are considered safe and effective for the treatment of female stress incontinence. In general, I advise patients that their main ... continue reading about I'm going to get an organic bladder sling made of pigs skin. Are there any more risks to getting that kind instead of the mesh kind?
Rodman S. Rogers, M.D.
SPMF San Francisco HMO Network
Regarding stress incontinence and using the pig skin mesh sling option - is it possible for a patient to reject the sling?
While nearly anything is conceivable or possible in individual situations, it's my understanding that the pig dermis is treated to remove all cellular components, leaving just the natural, treated sterile colla... continue reading about Regarding stress incontinence and using the pig skin mesh sling option - is it possible for a patient to reject the sling?
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